42Z-57664-50617
5 vaccinations
8 coded responses
57 check-ins
7 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 980 / WA
- Registered
- 2021-01-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-31
Registered in v-safe
-
2021-01-31
Dose 1 — Pfizer-BioNTech
- 2021-01-31
-
2021-02-01
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Good · Be unable to do your normal daily activitiesFree text: Dizziness when I first got up this morning - moderateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-02
Survey response — days 1–6 daily, dose 1MedDRA: Balance disorder, Dizziness — Feeling: GoodFree text: Very slight dizziness or unsure balance a couple of times. This happened after I moved quickly.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-03
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Sinus headache — Feeling: Good · HeadacheFree text: I had a mild headache last night. However, I think it was just a sinus headache due to my chronic sinus congestion. It is not unusual for me at any time of the year.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
- 2021-02-05
-
2021-02-06
Survey response — days 1–6 daily, dose 1MedDRA: Ear congestion — Feeling: FairFree text: Mild ear congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
- 2021-02-14
-
2021-02-21
Dose 2 — Pfizer-BioNTech
- 2021-02-21
-
2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-07
- 2021-03-14
- 2021-03-21
- 2021-03-28
- 2021-04-04
- 2021-05-23
- 2021-08-22
-
2021-10-01
Dose 3 — Pfizer-BioNTech
- 2021-10-01
-
2021-10-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-06
- 2021-10-07
- 2021-10-08
- 2021-10-15
- 2021-10-22
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-12-31
- 2022-04-01
-
2022-05-02
Dose 4 — Pfizer-BioNTech
- 2022-05-31
- 2022-06-06
- 2022-06-13
- 2022-08-01
-
2022-10-18
Dose 5 — Pfizer-BioNTechCo-administered: Flu
-
2022-10-19
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-20
-
2022-10-21
Survey response — days 1–6 daily, dose 5MedDRA: Sinus congestion — Feeling: FairFree text: Sinus congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-10-22
Survey response — days 1–6 daily, dose 5MedDRA: Sinus congestion — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: Sinus congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-10-23
- 2022-10-24
- 2022-10-25
- 2022-11-01
- 2022-11-08
- 2022-11-15
-
2022-11-22
Survey response — day 35, dose 5MedDRA: Condition aggravated, Pre-existing disease — Feeling: FairFree text: Chronic nasal/sinus congestion (many years) seems a bit worseMedDRA releases: 2024-11 · check-in free text available
- 2022-11-29
- 2023-01-17
-
2023-04-18
Survey response — 6 months, dose 5MedDRA: Cough, Influenza virus test negative, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-04-18
Report sent to call center — 6 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2023-04-20
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-31 | Pfizer-BioNTech | |
| 2 | 2021-02-21 | Pfizer-BioNTech | |
| 3 | 2021-10-01 | Pfizer-BioNTech | No |
| 4 | 2022-05-02 | Pfizer-BioNTech | No |
| 5 | 2022-10-18 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 successful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Dizziness when I first got up this morning - moderate
Systemic reaction (other): Very slight dizziness or unsure balance a couple of times. This happened after I moved quickly.
Systemic reaction (other): I had a mild headache last night. However, I think it was just a sinus headache due to my chronic sinus congestion. It is not unusual for me at any time of the year.
Systemic reaction (other): Mild ear congestion
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Sinus congestion
Systemic reaction (other): Sinus congestion
Release 12 — day 35, dose 5
Symptoms: Chronic nasal/sinus congestion (many years) seems a bit worse
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Condition aggravated | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Influenza virus test negative | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Balance disorder | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Ear congestion | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Sinus congestion | · | · | ✓ |
| SRO | Sinus headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release